Scribd
Upload
55 views2 pages

Prudent CKYC - App - Form-15.cdr

This document contains instructions for providing personal identification information such as passport expiry date, driving license expiry date, and Aadhaar number. It states that an Aadhaar card does not need to be attached, but if the Aadhaar number is provided it must be masked. The document also contains sections for signature/thumb impression and consent for sharing information with regulatory authorities.

Uploaded by

Rahul Sharma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
55 views2 pages

Prudent CKYC - App - Form-15.cdr

This document contains instructions for providing personal identification information such as passport expiry date, driving license expiry date, and Aadhaar number. It states that an Aadhaar card does not need to be attached, but if the Aadhaar number is provided it must be masked. The document also contains sections for signature/thumb impression and consent for sharing information with regulatory authorities.

Uploaded by

Rahul Sharma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

Passport Expiry Date

Driving Licence Expiry Date

No need to attach. Aadhaar card. If submitted, Aadhaar Number to be masked by the customer

No need to attach. Aadhaar card. If submitted, Aadhaar Number to be masked by the customer

No need to attach. Aadhaar card. If submitted, Aadhaar Number to be masked by the customer Signature /Thumb Impression
across photo without covering
the face
[For other than resident Individual, please mention Overseas Address]

Passport Expiry Date

Driving Licence Expiry Date

No need to attach. Aadhaar card. If submitted, Aadhaar Number to be masked by the customer

No need to attach. Aadhaar card. If submitted, Aadhaar Number to be masked by the customer

No need to attach. Aadhaar card. If submitted, Aadhaar Number to be masked by the customer
(All communications will be sent to Mobile number/Email-ID provided including for validation purpose) (Please refer instruction C at the end)

*mandatory and subject to validation, hence provide the valid information in legible manner

I hereby declare that the details furnished above are true and correct to the best of my knowledge/belief and I undertake to inform you
of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting.
I am aware that I may be held liable for it.
I hereby declare that I am not making this application for the purpose contravention of any Act, Rules, Regulations or any statute of
legislation or any notifications/directions issued by any governmental or statutory authority from time to time
I hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered number/email address.
I hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered number/email address.
I also providing consent to MF/AMC/KRA to share this KYC data / applicable Aadhaar XML data with CKYCR, download the information
from CKYCR and share the data to other participating intermediaries as mandated by PMLA Act/Rules/SEBI guidelines.

You might also like